Endometrial scraping

Today, one of the most frequently performed small gynecological operations is endometrial scraping. This intervention can be carried out with both therapeutic and diagnostic purposes.

As a result of this operation, the mucous membrane of the uterine cavity is removed, but not all, but only the functional layer. Restoration of the endometrium after scraping comes from its growth layer, which remains after scraping.

Since the beginning of the cycle, the uterine mucosa changes and thickens, preparing for the possible implantation of the embryo. If pregnancy does not occur, it is rejected and menstruation occurs. In the next cycle, everything repeats again. In fact, endometrial scraping is similar to menstruation, but it is performed instrumentally. Usually, planned manipulations are attempted several days before bleeding. If they are performed at the beginning or middle of the cycle, then there may be prolonged spotting. During menstruation, surgery can not be performed either, since the scraping obtained during this period will be uninformative due to necrotic changes in the mucous membrane.

Begin the operation from the cervical canal to the growth layer. The resulting material and endometrium after scraping is sent for histological examination separately. The result of this study is ready in two weeks. It must necessarily be taken and shown to the treating gynecologist.

Today, more and more often, endometrial scraping is performed under the control of hysteroscopy. Without it, manipulation is actually carried out blindly. Using a hysteroscope, the doctor first examines the uterine cavity, then scrapes, and afterwards regains control of his work. The use of modern equipment can reduce the likelihood of injuries and complications in patients.

Scraping is carried out with the objectives:

• Get material for histology;

• Remove polyps or synechia.

Before manipulation it is necessary to pass the following researches:

• General tests of urine and blood;
• ECG;
• Consultation of the therapist;
• Smears on cytology and flora;
• Blood biochemistry;
• Coagulogram;
• FLU;
• Determine the Rh factor and blood group;
• Learn the level of sugar;
• To make an ultrasound;
• To be surveyed on hepatitises, a syphilis, a HIV.

Today, in many even public hospitals, this operation is performed under good intravenous anesthesia. However, the result is worth it.

The patient easily falls asleep and wakes up right in the operating room. Further, she is taken to a wheelchair on a gurney, where she can still sleep. An hour later she was allowed to start drinking and sitting. After two, she can already get up and eat, and after three leaves home.

Much depends on the qualification of the anesthesiologist. However, after such anesthesia, there is no nausea, a headache, a person is practically conscious. Sensations such as if a person were awakened after a deep sleep, he may not remember something.

Scraping - the operation is fairly simple, it takes 20 minutes. However, after it there may still be some complications:

• Uterine perforation;
• Inflammation of the uterus;
• Hematometer (cervical spasm and accumulation of blood in the uterus);
• Excessive curettage.

But they are rare. As a prevention of inflammation, the doctor will prescribe, most likely, a course of antibiotics. Normally, after an intervention for several hours, there may be a bleeding, so it is necessary to take gaskets with you. Still about one week there may be spotting.

Thus, endometrial scraping is one of the most common and comfortable gynecological operations, especially if a qualified gynecologist and anesthesiologist participate in it. The use of hysteroscopy will significantly reduce the risk of complications and injuries.